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Provider Network Manager Jobs in Detroit, MI (NOW HIRING)

Johnson-Electric

IT Network Manager

Plymouth, MI · On-site

$110 - $140/hr

Join Our Team as an IT Network Manager at Johnson Electric!Location: Onsite, Plymouth, Michigan or ... Coordinating with external vendors and service providers.What We're Looking ForBachelor's degree in ...

Johnsonelectric

IT Network Manager

Plymouth, MI · On-site

Join Our Team as an IT Network Manager at Johnson Electric! Location: Onsite, Plymouth, Michigan or ... Coordinating with external vendors and service providers. What We're Looking For * Bachelor ...

Johnson Electric

IT Network Manager

Plymouth, MI · On-site

$110 - $150/hr

Join Our Team as an IT Network Manager at Johnson Electric!****Location:** Onsite, Plymouth ... Coordinating with external vendors and service providers.**What We're Looking For*** Bachelor ...

Johnson Electric Group

IT Network Manager

Plymouth, MI · On-site

$90 - $150/hr

Join Our Team as an IT Network Manager at Johnson Electric!****Location:** Onsite, Plymouth ... Coordinating with external vendors and service providers.**What We're Looking For*** Bachelor ...

Johnson Electric

IT Network Manager

Plymouth, MI · On-site

Join Our Team as an IT Network Manager at Johnson Electric! Location: Onsite, Plymouth, Michigan or ... Coordinating with external vendors and service providers. What We're Looking For * Bachelor ...

Johnson Electric

IT Network Manager

Plymouth, MI

Join Our Team as an IT Network Manager at Johnson Electric! Location: Onsite, Plymouth, Michigan or ... Coordinating with external vendors and service providers. What We're Looking For * Bachelor ...

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All JobsProvider Network JobsProvider Network Manager JobsProvider Network Manager Jobs in Detroit, MI

Provider Network Manager information

See Detroit, MI salary details

$21.8K

$105.5K

$160.9K

How much do provider network manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for provider network manager in Detroit, MI is $105,500.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,700.00 and $126,700.00 per year, depending on experience, location, and employer.

What is a provider network manager?

A Provider Network Manager is a professional responsible for developing, maintaining, and optimizing relationships with healthcare providers within a health insurance organization's network. They negotiate contracts, ensure provider compliance with policies, and work to expand or improve the network to meet the needs of members. Their role often involves analyzing network performance, resolving issues between providers and the insurer, and ensuring the network meets regulatory requirements. Provider Network Managers play a crucial part in ensuring quality, accessible, and cost-effective care for insured individuals.

What are the key skills and qualifications needed to thrive as a provider network manager?

To thrive as a Provider Network Manager, you need expertise in healthcare network development, contract negotiation, and knowledge of insurance regulations, often supported by a bachelor's degree in business, healthcare administration, or a related field. Familiarity with network management software, claims processing systems, and regulatory compliance platforms is typically required. Strong interpersonal skills, analytical thinking, and effective communication are crucial for building relationships and resolving issues with providers. These skills ensure efficient network operations, regulatory adherence, and the delivery of high-quality, cost-effective healthcare services.

What are some common challenges faced by provider network managers when negotiating contracts with healthcare providers?

Provider Network Managers often encounter challenges such as balancing competitive reimbursement rates with cost containment goals, navigating complex regulatory requirements, and addressing provider concerns regarding network participation. They must also ensure that contracts align with organizational standards while maintaining positive relationships with providers. Effective communication, negotiation skills, and a solid understanding of both payer and provider perspectives are crucial for overcoming these obstacles and building a robust network.

What is the difference between Provider Network Manager vs Provider Relations Specialist?

AspectProvider Network ManagerProvider Relations Specialist
CredentialsTypically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CHC are commonOften requires similar credentials, with a focus on communication or healthcare certifications
Work EnvironmentWorks in healthcare organizations, insurance companies, or managed care settings, managing networks and contractsWorks in provider offices or insurance companies, focusing on building and maintaining provider relationships
Employer & Industry UsageCommonly employed by health plans, insurance companies, and healthcare networksEmployed by insurance companies, healthcare providers, and managed care organizations

The Provider Network Manager and Provider Relations Specialist roles share overlapping credentials and work environments within healthcare and insurance industries. While the Provider Network Manager focuses on managing provider networks and contracts, the Provider Relations Specialist emphasizes building provider relationships and communication. Both roles are essential for effective healthcare delivery and insurance operations, often working closely together to ensure provider satisfaction and network efficiency.

Is provider network manager a stressful job?

Provider network managers often face stress due to managing provider relationships, ensuring network compliance, and meeting organizational goals. The role requires strong organizational skills and the ability to handle multiple priorities, which can contribute to a high-pressure environment.

What does a provider network manager do?

A provider network manager oversees the relationships between healthcare providers and an organization, ensuring network adequacy, contract negotiations, and compliance with regulations. They analyze provider data, coordinate with internal teams, and may use network management tools to optimize provider access and quality of care.

What are the most commonly searched types of Provider Network jobs in Detroit, MI?

The most popular types of Provider Network jobs in Detroit, MI are:

What cities near Detroit, MI are hiring for Provider Network Manager jobs?

Cities near Detroit, MI with the most Provider Network Manager job openings:

Provider Network Manager jobs near you
Infographic showing various Provider Network Manager job openings in Detroit, MI as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $105,500 per year, or $50.7 per hour.

Supervisor Provider Network Operations

Amerihealth Caritas

Southfield, MI • Remote

$77K - $104K/yr

Full-time

Posted 3 days ago

New

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

133rd of 315 rated insurance

Job description

Role Overview: The Provider Network Operations Supervisor supports the daily operations of the Provider Network Operations team by overseeing staff performance, ensuring operational efficiency, and maintaining compliance with internal policies and contractual requirements.

Work Arrangement:

  • Remote - This position is fully remote; the candidate must be located in Michigan (MI) and attend monthly meeting as needed in Southfield, MI.
  • Requires reliable high-speed internet (minimum 50 Mbps download / 5 Mbps upload)
  • Internet reimbursement may be available where required by law or contract

Responsibilities:

  • Supervise, coach, and monitor staff performance to ensure quality and timely completion of work
  • Support the Manager in implementing departmental initiatives and process improvements
  • Ensure operational processes align with internal policies, contractual obligations, and service level agreements (SLAs)
  • Oversee and support the resolution of provider inquiries and complaints, ensuring timely and effective outcomes
  • Monitor provider data maintenance and/or claims-related activities, providing feedback and recommendations for improvement
  • Research and resolve complex claims issues and operational discrepancies
  • Identify operational challenges and recommend solutions to improve performance and compliance
  • Participate in special projects and perform additional duties as assigned

Education & Experience:

  • Associate degree required or equivalent combination of education and relevant work experience
  • 1 to 3 years of supervisory or leadership experience preferred
  • Experience in managed care or a healthcare environment preferred
  • Knowledge of claims processing, coding, payment, and/or provider data operations strongly preferred
  • Familiarity with Medicaid reimbursement methodologies preferred

Skills & Abilities:

  • Strong leadership and team development capabilities
  • Knowledge of healthcare operations, particularly claims and provider data
  • Analytical and problem-solving skills with attention to detail
  • Ability to manage multiple priorities in a fast-paced environment
  • Strong communication and interpersonal skills
  • Ability to identify process improvement opportunities and drive change

What AmeriHealth Caritas employees say

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